Models of Buprenorphine Induction

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Joint providership by Association for Medical Education and Research in Substance Abuse and American Academy of Addiction Psychiatry

By Erik Gunderson, MD, FASAM | University of Virginia

Module Description:
Buprenorphine induction is an important aspect of treatment initiation that is challenging for patients and clinicians.  Physician concerns about induction pose a barrier for treatment adoption likely due to the logistics of patient assessment and monitoring, as well as concerns about potential precipitated withdrawal. Fortunately the induction barrier diminishes with experience. In addition, various practice models of induction may facilitate induction and provide practice-based evidence to help guide the induction process.  This presentation examines models of induction including the standard office approach and unobserved “home” induction method.  Induction procedures and data are reviewed from a specialty outpatient treatment program to help inform practice.  The “home” induction treatment protocol from a NIDA-sponsored pilot study of observed vs. unobserved induction is reviewed.  Office and unobserved approaches are compared and contrasted regarding effectiveness, resource utilization, potential patient and physician perspectives, safety, and limitations.

Accreditation and Designation:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Academy of Addiction Psychiatry (AAAP) and Association for Medical Education and Research in Substance Abuse (AMERSA). AAAP is accredited by the ACCME to provide continuing medical education for physicians.

American Academy of Addiction Psychiatry (AAAP) designates this enduring material for a maximum of 1 (one) AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

How to Receive CME Credits:
Upon completion of the Post Test:

• If you pass the Post Test with a grade of 80% or higher, you will be instructed to click a link which will bring you to the Online Module Evaluation Survey. Upon completion of the Online Module Evaluation Survey, you will receive a CME Credit Certificate or Certificate of Completion via email.

• If you received a grade of 79% or lower on the Post Test, you will be instructed to review the Online Module once more and retake the Post Test. You will then be instructed to click a link which will bring you to the Online Module Evaluation Survey. Upon completion of the Online Module Evaluation Survey, you will receive a CME Credit Certificate or Certificate of Completion via email.

• After successfully passing, you will receive an email detailing correct answers, explanations and references for each question of the Post Test.

SYSTEM REQUIREMENTS:
PC-based attendees Required: Windows® 8, 7, Vista, XP or 2003 Server
Mac®-based attendees Required: Mac OS® X 10